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1487923694
BENJAMIN J VILLAVICENCIO-LAZO
JACKSONVILLE, FL
NPI
1487923694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS48356)
Enumeration Date
2011-12-16
Last Update Date
2011-12-16
Business Address
Dr. BENJAMIN J VILLAVICENCIO-LAZO Pharm.D.
3505 UNIVERSITY BLVD W
JACKSONVILLE, FL 32217-2130
Phone number: 904-636-0778
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Mailing Address
Dr. BENJAMIN J VILLAVICENCIO-LAZO Pharm.D.
3505 UNIVERSITY BLVD W
JACKSONVILLE, FL 32217-2130
Phone number: 904-636-0778
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